Influence of individualized nursing intervention on rehabilitation of patients with chronic heart failure

Objective To observe the influence of individualized nursing intervention (INI) on rehabilitation of patients with chronic heart failure.Methods Totals of 92 patients were randomly divided into two groups,conventional group were given routine nursing,while intervention group were given psychological,diet,exercise,medication and health education and comprehensive nursing intervention,with the insistence of 6 months.And the heart rate,average hospitalization days,improvement in posture with rest and heart function were monitored before and after the intervention.Results Patient number of heart rate less than 100 beat per minute in intervention group was significantly more than that in conventional group (39 vs 30,x2 =4.696,P ＜0.05).Patient numbers of the intervention group that needing seat,half decubitus,lie low rest at the night respectively were 3,8,35 cases,and those of conventional group were 6,17,23 cases,and the difference was statistically significant (x2 =6.723,P ＜ 0.05).And the difference in the patient numbers with New York Heart Association (NYHA) Ⅱ,Ⅲ,Ⅳ level of cardiac function between intervention group and control group (8 vs 25,2 vs 15,36 vs 6)was statistically significant (x2 =6.114,P ＜ 0.05).The average hospitalization days were shorten in intervention group than those in control group [(13.12 ±7.30) vs (19.62-± 12.46) d,t =-3.010,P ＜ 0.05].Conclusions Individualized nursing intervention can be effectively improve the symptoms of heart failure,heart function,quality of life,and shorten the average hospitalization days for the patients. Key words: Heart failure, chronic; Individualized nursing intervention; Cardiac rehabilitation